Psychiatric aspects of organ transplantation in critical care.
Intensive care unit teams are a critical part of the solid organ transplant process. The psychosocial issues involved during critical periods of transplantation are important for intensive care physicians and clinicians to understand to provide comprehensive care to transplant patients. This article provides a brief overview of transplant epidemiology, followed by a review of the psychosocial issues relevant to the phases of the transplant process. Considered are the pretransplant evaluation phase, psychiatric disorders in transplant patients, and cognitive impairments and delirium with additional issues specific to particular organs. Also covered are the side effects of immunosuppressive medications and special issues arising with living donors.
DiMartini
Andrea
A
Consultation liaison to the Liver Transplant Program, Starzl Transplant Institute, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. dimartiniaf@upmc.edu
Crone
Catherine
C
Fireman
Marian
M
Dew
Mary Amanda
MA
D003072:Cognition Disorders / Q000145:classification / Q000175:diagnosis* / Q000209:etiology*; D003422:Critical Care / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D019520:Living Donors / Q000523:psychology* / Q000706:statistics & numerical data / Q000600:supply & distribution; D001523:Mental Disorders / Q000188:drug therapy / Q000209:etiology* / Q000523:psychology; D016377:Organ Transplantation / Q000523:psychology* / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D019172:Transplantation Conditioning / Q000379:methods* / Q000523:psychology*; D014481:United States / Q000453:epidemiology; D014850:Waiting Lists
D011619:Psychotropic Drugs